CPT70552

How Much Does an MRI Brain With Contrast Cost in New Jersey?

Mri brain stem w/dye

$438Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in New Jersey averages $298, from $291 in Rest of New Jersey to $306 in Northern Nj.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 07001.
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New Jersey Medicare physician rate (2026)

+10.9% vs national

Average of 2 localities. Office range $290.61–$305.89.

New Jersey (Hospital)
$87.68
Physician reading only
Private plan est.
$388–$597
~130–200% of Medicare
Cash / self-pay est.
$239–$447
~80–150% of Medicare

What the whole procedure costs

The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.

Physician reading alone
$82
Only 19% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in New Jersey

Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

What MRI brain with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in New Jersey moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 07001.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In New Jersey the office and hospital physician lines for this CPT differ by $210.57.

National vs New Jersey

National office$268.88
National hospital (physician)$81.83
New Jersey vs national11% above the national office rate of $268.88

Where New Jersey ranks for this CPT

Rank (lowest physician fee first)#47 of 51
Lowest stateArkansas ($237.78)
Highest stateAlaska ($309.58)

CPT 70552 by New Jersey locality

LocalityOffice
northern nj$305.89
rest of new jersey$290.61

PE GPCI ranges from 1.092 to 1.160 in New Jersey. That index is why the same CPT is not one price statewide.

MRI Brain With Contrast and how New Jersey is priced

New Jersey is split into two payment localities: northern New Jersey, which carries higher adjustments befitting its position in the New York metropolitan orbit, and the rest of the state to the south. Both localities price above the national average, but the northern one ranks among the more expensive in the country. The dividing line means a procedure in Bergen County is approved at a higher amount than the same one in Cherry Hill or along the shore. South Jersey's pricing gravity pulls toward Philadelphia even though its locality is its own.

New Jersey may be the ultimate cross-border care state: North Jersey residents flow into Manhattan hospitals, South Jersey residents into Philadelphia's academic centers, and the state's own large systems compete hard in between. Dense population means most residents have multiple hospitals within a short drive, which is real negotiating leverage for a cash-pay patient. The shore counties see seasonal population surges that strain capacity each summer.

This procedure: A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Is MRI Brain With Contrast?

A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Affects the Cost

  • –The gadolinium contrast agent itself is billed as a separate supply line, with newer agents costing more.
  • –The IV placement and injection may add administration charges depending on the biller.
  • –Some facilities require a recent kidney function blood test before giving contrast, adding a lab charge.
  • –Facility choice, hospital versus freestanding center, remains the dominant price variable for any MRI.
  • –The radiologist's professional fee for a contrast study is higher than for a non-contrast scan.

Questions to Ask Before Booking

  • 1.Does my authorization specifically cover a contrast study, not just a plain MRI?
  • 2.Is the contrast agent billed separately, and how much does it add?
  • 3.Do I need a kidney function test first, and who bills for that?
  • 4.Why is contrast-only being ordered rather than the combined without-then-with protocol?
  • 5.What is the total at a freestanding center versus the hospital, including the radiologist fee?

MRI Brain With Contrast in New Jersey: questions

Under 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in New Jersey averages $298, from $291 in Rest of New Jersey to $306 in Northern Nj. Enter a ZIP for the exact New Jersey locality.

Yes. CMS splits New Jersey into 2 payment localities. For this CPT the office physician fee spans $15.28 from the lowest to highest locality. Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $60 for the office physician line or $18 for the hospital physician line in New Jersey. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $298.25 is Medicare's full rate in New Jersey, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $87.68) and the hospital is paid separately, which brings the national total to up to about $438. New Jersey ranks #47 of 51 states on the non-hospital rate (11% above the national office rate of $268.88).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.